Can endometrial polyps heal by themselves?

Written by Wang Jing Hua

Obstetrics and Gynecology

Updated on January 20, 2025

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Some endometrial polyps are self-healing, so not all endometrial polyps require surgical treatment. This is often because endometrial polyps are related to recent endocrine states, and some can be managed with hormonal medications, while others may be expelled during a menstrual period. Therefore, if the endometrial polyp does not cause any symptoms, such as abnormal bleeding, impact on pregnancy, or is large enough to cause infertility, it is possible to observe regularly without immediate diagnostic curettage surgery.

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Written by Sun Shan Shan

Obstetrics and Gynecology

1min 3sec

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Do uterine polyps require surgery?

Endometrial polyps are caused by excessive growth of the endometrial lining, and can be single or multiple, with diameters ranging from a few millimeters to several centimeters. They can be pedunculated or sessile. Endometrial polyps smaller than one centimeter in diameter, if asymptomatic, have a natural resolution rate of about 27% within a year and a low rate of malignancy. If the polyp is large, greater than one centimeter, it requires hysteroscopic endometrial polypectomy or curettage. However, curettage has disadvantages, as it can easily miss polyps, and there is a high chance of recurrence after the surgery. Therefore, once an endometrial polyp larger than one centimeter is identified, it is advisable to promptly visit a hospital for examination and treatment. Postoperative treatment should be guided based on the pathological findings.

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Written by Liu Jian Wei

Obstetrics and Gynecology

42sec

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How to perform surgery on endometrial polyps

Currently, most hospitals require hospitalization for further examinations for endometrial polyps, followed by surgery in the operating room. Generally, anesthesia is administered to the patient before surgery, usually in the form of spinal anesthesia. After the anesthesia, the patient remains conscious, but feels no pain from the lower abdomen to the legs. Under these conditions, the surgery to remove the endometrial polyp is performed. Under the exploration of a hysteroscope, the polyps are removed sequentially with an electrosurgical loop, and the removed tissue is sent for pathological examination.

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Written by Sun Shan Shan

Obstetrics and Gynecology

49sec

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The difference between endometrial polyps and endometrial cancer

Endometrial polyps are a benign condition, while endometrial cancer is a malignant tumor. Endometrial polyps are caused by localized excessive growth of the endometrium and can be either solitary or multiple, ranging in diameter from a few millimeters to several centimeters, and can be categorized as pedunculated or sessile. Polyps consist of endometrial glandular tissue, stroma, and blood vessels. They are benign and can be treated with timely curettage or endometrial polyp electroresection, followed by a pathological examination. In cases of endometrial cancer, it is necessary to promptly perform a hysterectomy. Depending on the pathological analysis, further radiotherapy or chemotherapy may be required.

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Written by Wang Jing Hua

Obstetrics and Gynecology

34sec

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Can endometrial polyps heal by themselves?

Some endometrial polyps are self-healing, so not all endometrial polyps require surgical treatment. This is often because endometrial polyps are related to recent endocrine states, and some can be managed with hormonal medications, while others may be expelled during a menstrual period. Therefore, if the endometrial polyp does not cause any symptoms, such as abnormal bleeding, impact on pregnancy, or is large enough to cause infertility, it is possible to observe regularly without immediate diagnostic curettage surgery.

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Written by Yue Hua

Obstetrics and Gynecology

1min 4sec

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Can endometrial polyps be misdiagnosed?

Endometrial polyps can be misdiagnosed as they are caused by excessive proliferation of the endometrial lining. Clinically, the thickness of the endometrium varies throughout the menstrual cycle. Typically, just before menstruation, the endometrium is quite thick. As a result, some women might notice that their endometrium appears thick, resembling a polyp. If such a condition is observed, it is advisable to wait until after a menstrual period when the endometrium has shed before undergoing an ultrasound examination. If it is indeed an endometrial polyp, it will not shed with the menstrual flow. If it’s just thickened endometrium, it will resolve after menstruation. Therefore, it is essential to perform an ultrasound after menstruation to confirm if it is an endometrial polyp. If the polyp persists after a clean menstrual cycle, it can be diagnosed definitively.